• Journal of Chest Surgery
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• v.29 no.12
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• pp.1373-1376
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• 1996

From October 1993 to February 1996, 9 patients with Wolfr-Parkinson-White syndrome underwent surgical ablation of the accessory atrioventricular conduction pathways. The indications for surgical ablation we e radiofrequency ablation failure in 6 cases, multiple accessory pathways in 1 case, catheter tip fracture ducting catheter ablation in 1 case and additional procedure(redo mitral valve replacement due to valve thrombosis) in 1 case. There was no operative mortality. The postoperative complications were noted In 2 cases pericardial effusion and wound Infection. All patients had accessory atrioventricular connections ablated which were proven by surface ECG and follow-up electrophysiologic study and have remained free of symptomatic tachycardia. The indications for surgical treatment of Wolff-Parkinson-White syndrome are radiofrequency ablation failure, multiple pathways, or when additional procedures are required The present results were satisfactory.

• Journal of Sasang Constitutional Medicine
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• v.32 no.4
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• pp.141-151
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• 2020

Objectives This study aimed to report significant improvement of dizziness, gait disturbance and dysarthria after treatment with Sasang constitutional medicine treatment on a Taeeumin patient with olivopontocerebellar atrophy. Methods A 53-year-old female diagnosed olivopontocerebellar atrophy about one year ago suffered from dizziness, gait disturbance and dysarthria. The patient was identified as Taeeumin Joyeol pattern and treated with Cheongsimyeonja-tang and Taegeuk acupuncture. The patient's main symptoms were observed using Global Assessment Scale (GAS) during the treatment period. In addition, the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results We observed a significant improvement in symptoms of dizziness, gait disturbance and dysarthria using GAS, and UMSARS score decreased in Part I and II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment for Taeeumin patient with olivopontocerebellar atrophy. We consider that consistent treatment can contribute to improve the patient's quality of life.

• Communications for Statistical Applications and Methods
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• v.17 no.6
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• pp.899-907
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• 2010

Several non-response imputation methods are suggested, however, mainly cross-sectional imputations are studied and applied to this analysis. A simple and common imputation method for panel data is the cross-wave regression imputation or carry-over imputation as a special case of cross-wave regression imputation. This study suggests a multiple imputation method combined time series analysis and cross-sectional multiple imputation method. We compare this method and the cross-wave regression imputation method using MSE, MAE, and Bias. The 2008 monthly labor survey data is used for this study.

• Journal of the Korean Society of Safety
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• v.33 no.6
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• pp.37-41
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• 2018

Process safety technology has developed from qualitative methods such as HAZOP (hazard and operability study) to semi-quantitative methods such as LOPA (layer of protection analysis), and quantitative methods are actively studied these days. Quantitative risk assessment (QRA) is often based on fault tree analysis (FTA). FTA is efficient, but difficult to apply when failure events are not independent of each other. This problem can be avoided using a Markov process (MP). MP requires definition of all possible states, and thus, generally, is more complicated than FTA. A method is proposed in this work that uses an MP model and a Weibull distribution model in order to construct a reliability model for multiple dependent failures. As a case study, a pressure safety valve (PSV) is considered, for which there are three kinds of failure, i.e. open failure, close failure, and gas tight failure. According to recently reported inspection results, open failure and close failure are dependent on each other. A reliability model for a PSV group is proposed in this work that is to reproduce these results. It is expected that the application of the proposed method can be expanded to QRA of various systems that have partially dependent multiple failure states.

• Journal of KIBIM
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• v.5 no.4
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• pp.47-52
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• 2015

This paper presents a case study using Building Information Modeling (BIM) for planning, simulating, and implementing complex site logistics in a headquarter office building construction project in Silver Spring, MD. As part of the project a prefabricated 92ft structural tube steel pedestrian connector bridge was installed between two adjacent buildings in the city of Silver Spring, MD. There were multiple significant challenges to deliver, offload, prepare, and install the connector bridge safely, on time, and with the minimum disturbances to the neighbors. BIM was of the foremost importance to visualize, simulate, analyze, improve, and communicate the site logistics plan from delivery to installation of the connector bridge. As a result of the effort, GC of the project was able to prepare a highly detailed plan, communicate it effectively to all stakeholders, and flawlessly execute the work as planned. This case study would provide a useful reference for contractors who are seeking a better planning method that enables generation of more accurate, implementable, optimized plans for complex site logistics.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.195-205
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• 2019

Purpose: This study was conducted to identify effects of Medicaid Case Manager's communication competence and stress on their job satisfaction. Methods: The current work is descriptive research, and the participants were 154 medicaid case managers. Data were collected between May and July, 2017 through Embrain, a specialized research organization. The data were analyzed using independent t-test, ANOVA, and multiple regression. Results: The mean communication competence of the medicaid case managers was 3.61, stress 1.76, and their job satisfaction 2.74. Age and average monthly compensation brought significant differences in their job satisfaction. Their communication competence was correlated with stress (r=-.35, p<.001), but not with their job satisfaction. The stress was the most influential factor in job satisfaction (${\beta}=-.45$). Conclusion: The results of this work show that the medicaid case managers' communication competence was not an influence factor of their job satisfaction, which is different from implications from the previous studies and needs confirmation through future research. In addition the results of this study also suggest that stress management can be a useful approach to the improvement of medicaid case managers' job satisfaction.

• Journal of Ship and Ocean Technology
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• v.9 no.1
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• pp.11-26
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• 2005

In this study, the program to investigate the multiple body interaction effects between a floating platform and a shuttle tanker considering the coupled effect of hull (FPSO) with mooring lines and risers was developed. The coupled analysis program, which is called WINPOST-MULT using the hydrodynamic analysis results by WAMIT, was made. For the verification of WINPOST-MULT by means of numerical experiments, two multiple-body models of an FPSO-FPSO and an FPSO-shuttle tanker system are adopted. With the FPSO-FPSO model and a two-mass-spring system to idealize two identical bodies for the 100-year storm wave condition in GOM, the numerical simulations were performed to investigate the interaction effects between two identical bodies. For the more reality, the coupled analysis for the FPSO-shuttle tanker model in the tandem arrangement was carried out in the consideration of the environmental condition of the West Africa Sea as a rather mild condition. Through the case studies with interaction effect and without interaction effect by the iteration method and the combined method, it is verified that the program is a very useful tool for the analysis of the interaction problem of multiple-body system and the coupled problem of the hull/mooring/riser.

• Journal of Korean Association for Spatial Structures
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• v.13 no.4
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• pp.57-66
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• 2013

Spatial structures have the different dynamic characteristics from general rahmen structures. Therefore, it is necessary to accurately analyze dynamic characteristics and seismic response for seismic design of spatial structure. Keel arch structure is used as an example structure because it has primary characteristics of spatial structures. In case of spatial structures with different ground condition and time lag, multiple support excitation may be subjected to supports of a keel arch structure. In this study, the response of the keel arch structure under multiple support excitation and with time lag are analyzed by means of the pseudo excitation method. Pseudo excitation method shows that the structural response is divided into two parts, ground displacement and structural dynamic response due to ground motion excitation. It is known that the seismic responses of spatial structure under multiple support excitation are different from those of spatial structure under simple excitation. And the seismic response of spatial structure with time lag are different from those of spatial structure without time lag. Therefore, it has to be necessary to analyze the seismic response of spatial structure under multiple support excitation and time lag because the spatial structure supports may be different and very long span. It is shown that the seismic response of spatial structure under multiple support seismic excitation are different from those of spatial structure under unique excitation.

• Structural Engineering and Mechanics
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• v.44 no.4
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• pp.521-538
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• 2012

In this study, the transverse vibrations of an axially moving flexible beams resting on multiple supports are investigated. The time-dependent velocity is assumed to vary harmonically about a constant mean velocity. Simple-simple, fixed-fixed, simple-simple-simple and fixed-simple-fixed boundary conditions are considered. The equation of motion becomes independent from geometry and material properties and boundary conditions, since equation is expressed in terms of dimensionless quantities. Then the equation is obtained by assuming small flexural rigidity. For this case, the fourth order spatial derivative multiplies a small parameter; the mathematical model converts to a boundary layer type of problem. Perturbation techniques (The Method of Multiple Scales and The Method of Matched Asymptotic Expansions) are applied to the equation of motion to obtain approximate analytical solutions. Outer expansion solution is obtained by using MMS (The Method of Multiple Scales) and it is observed that this solution does not satisfy the boundary conditions for moment and incline. In order to eliminate this problem, inner solutions are obtained by employing a second expansion near the both ends of the flexible beam. Then the outer and the inner expansion solutions are combined to obtain composite solution which approximately satisfying all the boundary conditions. Effects of axial speed and flexural rigidity on first and second natural frequency of system are investigated. And obtained results are compared with older studies.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.181-188
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• 2019

The migration path of a multiple-generation technology that occurs during a technological substitution by a new technology is important to understanding the phenomenon of technological substitution, and can contribute to understanding the process of technological innovation. This research defines the concept of migration path and develops a model of the types of migration paths by multiple dimensions (actor, generation, and time) in a multiple-generation technology. Based on a literature review and tracking of migration paths according to multiple dimensions, the definitions and types of migration paths were provided, and the accuracy of the model was verified based on a case study of the semiconductor industry. The migration paths of suppliers are modeled with three types (switching, leapfrogging, and new entrance paths), and the migration paths of customers are modeled with four types (switching, leapfrogging, new entrance, and diffusion paths) in a multiple-generation technology. This research will be useful for understanding the migration paths in the phenomenon of technological substitution, and can be applied to other industries in addition to the semiconductor industry, including various actors. In addition, suppliers and customers can understand technological substitution and can establish a technology strategy against their competitors.